ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.

KENOSHA, WI
NPI1104279561
Entity TypeOrganization
Authorized ContactDANA DEROUIN
President
262-652-6555
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: WI  1029-25)
Enumeration Date2016-07-20
Last Update Date2016-07-20
Business Address
ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
2901 35TH ST LOWER LEVEL SOUTH
KENOSHA, WI 53140-5117
Phone number: 262-652-6555
Mailing Address
ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
2901 35TH ST LOWER LEVEL SOUTH
KENOSHA, WI 53140-5117
Phone number: 262-652-6555
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